Obstetric clinical monitoring of hemorrhagic shock and rescue.doc

 PAGE \* MERGEFORMAT 7 Obstetric clinical monitoring of hemorrhagic shock and rescue [Keywords:] obstetric hemorrhage Obstetric bleeding is common and serious obstetric complications, especially hemorrhagic shock, it not only seriously affect maternal health and even endanger the mother’s life, so do the monitoring of hemorrhagic shock and rescue to the protection of maternal health significance. Now 38 patients in our hospital monitoring of hemorrhagic shock and rescue experience are summarized below. 1 Clinical data Over the last decade our hospital maternal hemorrhagic shock in 38 cases. In which more than the age of 25 to 35 years old, minimum 18, maximum 42 years. The beginning of pregnancy in 25 cases, by mothers in 13 cases. Postpartum hemorrhage causes uterine inertia 18 cases of uterine incision during cesarean section torn in 8 cases, 5 cases of placental abruption, placenta previa, 4 cases of uterine rupture in 3 cases. 2 obstetric hemorrhagic shock monitoring method 2.1 The monitoring of clinical manifestations of early shock: irritability, thirst, blood pressure, rapid thready pulse, pale or mild cyanosis, clammy extremities. Shock add: look indifferent, insensitive response, blood pressure continued to decline, slow pulse, dilated pupils Big, little or no urine. 2.2 pulse or heart rate monitor is the most simple and easy method to monitor shock. Shock yet to the early changes of blood pressure, pulse and heart rate has been significantly accelerated. Such as pulse and heart rategt; 100 beats / min, should consider the possibility of early shock. 2.3 The monitoring of blood pressure monitoring blood pressure is an important indicator of shock, but should be closely integrated clinical and pulse rate to judge. The following should be considered a shock occur. (A systolic blood pressure lt;12kPa, or in the original basis of lower 2.7 ~ 4.0kPa, ( 2 diastolic blood pressure 5.3kPa, (3 pulse pressure 2.7 kPa, (4 mean arterial p